Académique Documents
Professionnel Documents
Culture Documents
Workplace, And
Professional Advocacy
This chapter examines the processes
through which advocacy is learned as
well as the ways in which leader-
managers can advocate for their
patients, subordinates, and the
profession. The role of “whistleblower”
as an advocacy role is discussed.
Specific suggestions for interacting with
legislators and the media to influence
health policy are also included.
Leadership roles and management
functions
Advocacy=helping others to grow and self-
actualize-is a critically important leadership
role. Many of the leadership skills that are
described in the following chapters, such as
risk taking, Vision, self-confidence, ability to
articulate needs, and assertiveness, are used
in the advocacy role.
The term advocacy can be stated in its
simplest form as protecting and defending
what one believes in for both self and others
Nurses may act as advocates by helping
others make informed decisions, by acting
as an intermediary in the environment, or by
directly intervening on behalf of others.
Leadership roles and management function associated with
advocacy
Leadership roles
1. Creates a climate where advocacy and Its associated risk taking
are valued.
2. Seeks fairness and justice for individuals who are unable to
advocate for themselves
3. Seeks to strengthen patient and subordinate support systems to
encourage autonomous, well-informed decision making
4. Role models the use of patient and family engagement strategies
5. Influence others by providing information necessary to empower
them to act autonomously
6. Assertively advocates on behalf of patients and subordinates when
an intermediary is necessary.
7. Participates in professional nursing organizations and other groups
that seek to advance the profession of nursing.
8. Role models proactive involvement in health-care policy through
both formal and informal interactions with the media and legislative
representatives
9. Works to establish the creation of a national,
legally binding Bill of Rights for Patients.
10. Speaks up when appropriate to advocate
for health-care practices necessary for safety
and quality improvement
11. Advocates for social justice in addition to
individual patient advocacy
12. Appropriately differentiates between
controlling patient choices (domination and
dependence) and in assisting patient choices
(allowing freedom)
Management Functions
1. Assures that subordinates and patients have
adequate information to make informed decisions
2. Establishes a work climate that prioritizes the rights
and values of patients in heatth-care decision making
3. Seeks appropriate consultation when advocacy
results in intrapersonal or interpersonal conflict.
4. Promotes and protects the workplace safety and
health of subordinates and patients
5. Encourages subordinates to bring forth concerns
about the employment setting and seeks impunity for
whistleblowers.
6. Demonstrates the skills needed to interact
appropriately with the media and legislators regarding
nursing and health-care issues
7. Is aware of current legislative efforts affecting
nursing practice and organizational and unit
management 8.Assures that the work environment
is both safe and conducive to professional and
personal growth for subordinates
9. Creates work environments that promote
subordinate empowerment so that workers have
the courage to speak up for patients, themselves,
and their profession
10. Takes immediate action when illegal unethical,
or inappropriate behavior occurs that can
endanger or jeopardize the best interests of the
patient, the employee, or the organization.
Kaplan (2015) found that younger professionals
engaged in higher levels of patient advocacy than
older professionals and that social workers
engaged in greater patient advocacy than did
nurses. In addition, the researchers found that
when hospitals are committed to patient
empowerment, those health-care professionals are
more likely to engage in advocacy.
Regardless of how or when advocacy is learned,
or the extent to which it is used, there are nursing
values central to advocacy. These values
emphasize caring, autonomy, respect, and
empowerment.
Nursing Values Central to Advocacy
1. Each individual has a right to autonomy in deciding what
course of action is most appropriate to meet his or her
health-care goals.
2. Each individual has a right to hold personal values and to
use those values in making health-care decisions.
3. All individuals should have access to the information they
need to make informed decisions and choices.
4. The nurse must act on behalf of patients who are unable to
advocate for themselves.